Chronic Care Navigator & Social Services Advocate

HOUSING WORKS INC; New York (NY); On-site; USD 29,000 - 33,000; Full time

Benefits offered by this job

Health plan options

Paid time off (PTO)

Tuition/educational benefit

Job summary

Housing Works in New York, NY is seeking a Patient Navigator to provide care coordination for members with chronic health conditions. The Navigator will educate, evaluate, coordinate services, and research community resources to improve health outcomes.

Responsibilities include case management, assessments, and care planning. The role involves outreach, advocacy, and assisting with obtaining HIV-related services and health insurance navigation.

Qualifications

• Bachelor’s degree in social work or related field with at least two years of social services experience.
• Good verbal, written, communication and interpersonal skills.
• Ability to travel to member’s residence.
• Ability to navigate health insurance systems and documentation.
• Familiarity with community health and social service agencies and public benefits.

Responsibilities

• Provides case management services including weekly and monthly progress summaries, quarterly assessments, care planning, counseling, outreach, case conferences, advocacy, and referrals.
• Completes initial assessments and quarterly reassessments to develop individualized treatment goals.
• Establishes treatment goals and objectives with clients as part of the interdisciplinary team.
• Assist clients in navigating internal and external medical systems and HIV-related services.
• Coordinate transitional care from inpatient service to other settings as per care plan.
• Maintain documentation and update care plans in Housing Works electronic medical records.
• Perform outreach and engagement for hard-to-reach clients.

Skills

Communication skills

Verbal communication

Written communication

Interpersonal skills

Data entry

Office software

Travel ability

Education

Bachelors’ Degree in social work or related field

Tools

AIRS

e-Share

EiCare

Job description

Housing Works in New York, NY is seeking a Patient Navigator to provide care coordination for members with chronic health conditions. The Navigator will educate, evaluate, coordinate services, and research community resources to improve health outcomes.

Responsibilities include case management, assessments, and care planning. The role involves outreach, advocacy, and assisting with obtaining HIV-related services and health insurance navigation.